General Laws of Massachusetts (Last Updated: January 16, 2020) |
PART I ADMINISTRATION OF THE GOVERNMENT |
TITLE XXII. CORPORATIONS |
CHAPTER 176J. SMALL GROUP HEALTH INSURANCE |
SECTION 1. Definitions |
SECTION 2. Application of chapter |
SECTION 3. Individual and small group plans; group base premium rate; filing plan with connector; investigation of deviations from group base premium rate |
SECTION 4. Carriers to make health benefit plans available; renewal of plans |
SECTION 5. Exclusion of eligible individuals |
SECTION 6. Approval of health insurance policies; eligibility criteria; submission of information; approval of changes to small group product base rates or rating factors |
SECTION 7. Disclosure by carriers |
SECTION 8. Transitional reinsurance program |
SECTION 9. Continuous coverage |
SECTION 10. Young adult health benefit plans; coverage requirements; premiums |
SECTION 11. Reduced or selective network plans; tiered network plans; smart tiering plans |
SECTION 11A. Continuing coverage for active course of treatment for serious disease begun prior to enrollment in reduced or selective network plan or tiered network plan |
SECTION 12. Small business group purchasing cooperatives; regulations governing establishment, oversight and certification |
SECTION 13. Filing of health benefit plan proposals for consideration upon request of group purchasing cooperative |
SECTION 14. Coverage of medically necessary and covered services otherwise unavailable within carrier's provider network |
SECTION 15. Display by insurer offering tiered network plan of cost-sharing differences for enrollees in various tiers in promotional and agreement material |
SECTION 16. Attribution of members to a primary care provider |
SECTION 17. Disclosure of patient-level data and contracted prices of individual health care services by carriers to providers |